Credentialing Specialist

TeleMed2U; Austin (TX); Hybrid; USD 28,929 - 41,328; Full time

Job summary

TeleMed2U in Austin/Remote is seeking a Credentialing Specialist I–III to support the provider network’s credentialing, enrollment, and recredentialing workflows in line with NCQA, URAC, Joint Commission, and CMS standards. You will manage CAQH profiles, monitor status with payors, submit rosters, update databases, and maintain records.

This is a full-time, non-exempt role with a salary range of $21–$30 per hour.

Qualifications

• Credentialing experience required for all levels.
• High School Diploma or equivalent required.
• Experience with CAQH, payor enrollment, and CMS standards preferred.

Responsibilities

• Supports credentialing process for TeleMed2U providers.
• Ensures accuracy before submission to payors.
• Monitors enrollment status and follows up with payors.
• Updates databases and maintains enrollment records.
• Mentors junior team members as needed, especially at higher levels.

Skills

Credentialing experience

Attention to detail

Communication skills

Multitasking

Education

High School Diploma or equivalent

Job description

At TeleMed2U, we believe that time is the most valuable resource in healthcare— whether it is time to diagnosis, time to treatment, or time to better health. That is why, since our founding in 2011, we have been dedicated to increasing access to care across 20 medical and behavioral health specialties nationwide. By breaking down traditional barriers to specialty care, TeleMed2U has become a leading technology-enabled healthcare services company, delivering high-quality, convenient, and easy-to-access virtual healthcare solutions. Our integrated approach to chronic disease management empowers both patients and providers, improving health outcomes through seamless care coordination. With a focus on patient-centered innovation, provider collaboration, and data-driven care delivery, TeleMed2U is redefining specialty care—making it faster, simpler, and more accessible for all.

Job Title: Credentialing Specialist I, II, III

Location: Austin, Texas or Remote

Reports To: Credentialing Manager FLSA Status: Non-Exempt Employment Type: Full-Time

Salary Range: $21-$30 per hour

The primary role of this position is to assist physicians and support the Credentialing team with preparing and submitting credentialing, enrollment, recredentialing applications and follow up on the status of applications for Physicians and Payers and keep a detailed log of all tasks. The Credentialing Specialist will be responsible for supporting all aspects of credentialing and recredentialing and any other administration duties assigned by management.

Credentialing Specialist I

• Supports the TeleMed2U Provider Network’s credentialing process for all TeleMed2U clinical providers, in accordance with NCQA, URAC, Joint Commission and CMS accreditation standards, Federal and State laws, and TeleMed2U’s policies.
• Assists with the management of TeleMed2U Provider Network’s credentialing applications, to ensure distribution, receipt, processing, and timely management through our credentialing process.
• Ensures all credentialing and enrollment applications accuracy prior to submission
• Monitors provider enrollment application status, follow up with the payors
• Manage CAQH profiles for TeleMed2U’s Provider Network.
• Prepare and submit rosters to health insurance plans to ensure provider participation.
• Update various databases to ensure proper tracking of payor enrollments, credentialing and update requests.
• Maintain necessary records of outstanding enrollment applications and requests.
• Coordinate all managed care credentialing activities to ensure provider participation status.
• Credentialing activities require substantial contact with outside agencies
• Follow-up with managed care companies to ensure expedient credentialing.

Credentialing Specialist II

• All Credentialing Specialist I responsibilities
• Serve as a liaison for training new team members
• Identify conflicting or questionable information while processing applications and highlight sensitive information for committee members

Credentialing Specialist III

• All Credentialing Specialist I and II responsibilities
• Acts a mentor to other Credentialing Specialist
• Provides support and assistance within the department
• Leads with minimal supervision
• Prepare specialized reports as requested, including analysis and presentation findings.
• Other duties as assigned

Required

Credentialing Specialist I

• Credentialing experience
• High School Diploma or equivalent

Credentialing Specialist II

• 3 years of experience in credentialing
• 1 year minimum healthcare experience
• High school diploma or equivalent

Credentialing Specialist III

• Credentialing Specialist II w/ TeleMed2U min 1 year
• 4 years experience minimum in Credentialing and/or Licensing.
• Top performer at current level, who has demonstrated proficiency in all areas of Credentialing.
• Excellent verbal and written communication skills
• Ability to multitask and work independently
• Excellent attention to detail
• Experience with state licensure application submission process for multiple states
• High school diploma required/GED

Preferred

• Medicare and Medicaid enrollment experience preferred
• 1-3 years of experience in licensing, payor enrollment and credentialing preferred

Physical Requirements

• Prolonged periods of desk work and computer use
• Ability to lift 15 lbs

TeleMed2U is an equal opportunity employer and is committed to providing a workplace that is inclusive and free of discrimination. As an EEO employer, TeleMed2U does not discriminate on the basis of race, color, religion, sex, national origin, age, disability, genetic information, or any other status protected by applicable law or regulation. We strive to create a diverse and welcoming environment for all employees, where each person is recognized and valued for their unique contributions. All employment decisions are based on merit, business needs, and individual qualifications.